Active NPI
Kathryn Richey Nollman
- Specialist
- Friday Harbor, WA
National Provider Identifier
1740320753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT00000666
- Practice address
- 301 Hidden Meadows LN
Friday Harbor, WA 98250-7089 - Phone
- (360) 378-5186
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT00000666 | WA | Primary |
Addresses
Primary practice location
301 Hidden Meadows LN
Friday Harbor, WA 98250-7089
Mailing address
301 Hidden Meadow Lane
Friday Harbor, WA 98250
Phone (360) 378-5186
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7681059 | Other | WA | DSHS PROVIDER |
| 77416 | Other | WA | REGENCE BLUE SHIELD PROVI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00000666 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740320753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HIDDEN MEADOW LANE",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "98250",
"telephone_number": "360-378-5186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HIDDEN MEADOWS LN",
"city": "FRIDAY HARBOR",
"state": "WA",
"postal_code": "982507089",
"telephone_number": "360-378-5186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLLMAN",
"first_name": "KATHRYN",
"middle_name": "RICHEY",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "OT00000666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS PROVIDER",
"identifier": "7681059",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PROVI",
"identifier": "77416",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Friday Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.